РОБОТИЗИРОВАННЫЕ ЭКЗОСКЕЛЕТЫ ПОЗВОНОЧНИКА ДЛЯ КОРРЕКЦИИ ДЕФОРМАЦИЙ ПОЗВОНОЧНОГО СТОЛБА: ОБЗОР СОВРЕМЕННЫХ РЕШЕНИЙ
Ключевые слова:
экзоскелет позвоночника, деформация позвоночника, сколиоз, реабилитация, робототехника.Аннотация
В этой работе представлен обзор роботизированных экзоскелетов позвоночника, предназначенных для исправления деформаций позвоночника. Рассмотрены классификация современных систем, особенности их проектирования, сенсорные технологии и алгоритмы управления. Был проведен сравнительный анализ существующих решений для поддержки позвоночника и коррекции сколиоза, кифоза и других нарушений осанки. Обсуждаются перспективы развития роботизированных экзоскелетов и возможности их применения в реабилитационной практике.
Библиографические ссылки
Mak SKD, Accoto D. Review of Current Spinal Robotic Orthoses. Healthcare (Basel). 2021 Jan 13;9(1):70. doi: 10.3390/healthcare9010070. PMID: 33451142; PMCID: PMC7828606.
Kim H.-J., Yi J.-M., Cho H.-G., Chang B.-S., Lee C.-K., Kim J.H., Yeom J.S. Comparative Study of the Treatment Outcomes of Osteoporotic Compression Fractures without Neurologic Injury Using a Rigid Brace, a Soft Brace, and no Brace: A Prospective Randomized Controlled Non-inferiority Trial. J. Bone Jt. Surg. Am. Vol. 2014;96:1959–1966. doi: 10.2106/JBJS.N.00187.
Oleksik A.M., Ewing S., Shen W., Van Schoor N.M., Lips P. Impact of Incident Vertebral Fractures on Health-related Quality of Life (HRQOL) in Postmenopausal Women with Prevalent Vertebral Fractures. Osteoporos. Int. 2005;16:861–870. doi: 10.1007/s00198-004-1774-3.
Christophy M., Senan N.A.F., Lotz J.C., O’Reilly O.M. A Musculoskeletal Model for the Lumbar Spine. Biomech. Modeling Mechanobiol. 2012;11:19–34. doi: 10.1007/s10237-011-0290-6.
Kim H.K., Zhang Y. Estimation of Lumbar Spinal Loading and Trunk Muscle Forces during Asymmetric Lifting Tasks: Application of Whole-body Musculoskeletal Modelling in OpenSim. Ergonomics. 2017;60:563–576. doi: 10.1080/00140139.2016.1191679.
Alcalá-Cerra G., Díaz-Becerra C., Fernandes-Joaquim A., Moscote-Salazar L.R., Paternina-Caicedo A.J. Orthosis for Thoracolumbar Burst Fractures without Neurologic Deficit: A Systematic Review of Prospective Randomized Controlled Trials. J. Craniovertebral Junction Spine. 2014;5:25–32. doi: 10.4103/0974-8237.135213.
Valentin G.H., Pedersen L.N., Maribo T. Wearing an Active Spinal Orthosis Improves Back Extensor Strength in Women with Osteoporotic Vertebral Fractures. Prosthet. Orthot. Int. 2014;38:232–238. doi: 10.1177/0309364613497393.
Walsh C., Paluska D., Pasch K., Grand W., Valiente A., Herr H. Development of a Lightweight, Underactuated Exoskeleton for Load-carrying Augmentation; Proceedings of the IEEE International Conference on Robotics and Automation; Orlando, FL, USA. 15–19 May 2006; pp. 3485–3491.
Johnson A.P., Gorsic M., Regmi Y., Davidson B.S., Dai B., Novak D. Design and Pilot Evaluation of a Reconfigurable Spinal Exoskeleton; Proceedings of the IEEE Engineering in Medicine and Biology Society; Honolulu, HI, USA. 18–21 July 2018; pp. 1731–1734
Mekki M., Delgado A.D., Fry A., Putrino D., Huang V. Robotic Rehabilitation and Spinal Cord Injury: A Narrative Review. Neurotherapeutics. 2018;15:604–617. doi: 10.1007/s13311-018-0642-3
Sadler E.M., Graham R.B., Stevenson J.M. The Personal Lift-assist Device and Lifting Technique: A Principal Component Analysis. Ergonomics. 2011;54:392–402. doi: 10.1080/00140139.2011.556259.
Kawamoto H., Lee S., Kanbe S., Sankai Y. Power Assist Method for HAL-3 using EMG-based Feedback Controller; Proceedings of the IEEE International Conference on Systems, Man, and Cybernetics; Washington, DC, USA. 8 October 2003; pp. 1648–1653.
Johnson A.P., Gorsic M., Regmi Y., Davidson B.S., Dai B., Novak D. Design and Pilot Evaluation of a Reconfigurable Spinal Exoskeleton; Proceedings of the IEEE Engineering in Medicine and Biology Society; Honolulu, HI, USA. 18–21 July 2018; pp. 1731–1734.
Frost D.M., Abdoli-Eramaki M., Stevenson J.M. PLAD (Personal Lift Assistive Device) Stiffness Affects the Lumbar Flexion/extension Moment and the Posterior Chain EMG during Symmetrical Lifting Tasks. J. Electromyogr. Kinesiol. 2009;19:403–412. doi: 10.1016/j.jelekin.2008.12.002.
Ulrey B.L., Fathallah F.A. Effect of a Personal Weight Transfer Device on Muscle Activities and Joint Flexions in the Stooped Posture. J. Electromyogr. Kinesiol. 2013;23:195–205. doi: 10.1016/j.jelekin.2012.08.014.
Li S.S.W., Chow D.H.K. Effects of Backpack Load on Critical Changes of Trunk Muscle Activation and Lumbar Spine Loading during Walking. Ergonomics. 2018;61:553–565. doi: 10.1080/00140139.2017.1365950.
Aissaoui R., Lacoste M., Dansereau J. Analysis of Sliding and Pressure Distribution during a Repositioning of Persons in a Simulator Chair. IEEE Trans. Neural Syst. Rehabil. Eng. 2001;9:215–224. doi: 10.1109/7333.928581.
Schiele A., van der Helm F. Influence of Attachment Pressure and Kinematic Configuration on pHRI with Wearable Robots. Appl. Bionics Biomech. 2009;6:157–173. doi: 10.1155/2009/829219.
Li X., Noritsugu T., Takaiwa M., Sasaki D. Design of Wearable Power Assist Wear for Low Back Support Using Pneumatic Actuators. Int. J. Autom. 2013;7:228–236. doi: 10.20965/ijat.2013.p0228.
Zhang H., Kadrolkar A., Sup F.C. Design and Preliminary Evaluation of a Passive Spine Exoskeleton. J. Med. Devices. 2016;10:011002. doi: 10.1115/1.4031798.
De Rijcke L., Näf M., Rodriguez-Guerrero C., Graimann B., Houdijk H., Van Dieën J., Mombaur K., Russold M., Sarabon N., Babič J., et al. SPEXOR: Towards a Passive Spinal Exoskeleton; Proceedings of the 2nd International Symposium on Wearable Robotics, WeRob2016; Segovia, Spain. 18–21 October 2016; pp. 325–329.
Naf M.B., De Rijcke L., Guerrero C.R., Millard M., VanderBorght B., Lefeber D. Towards Low Back Support with a Passive Biomimetic Exo-spine. IEEE Int. Conf. on Rehabil. Robot. 2017;2017:1165–1170. doi: 10.1109/ICORR.2017.8009407.
Park J.-H., Stegall P.R., Roye D.P., Agrawal S.K. Robotic Spine Exoskeleton (RoSE): Characterizing the 3-D Stiffness of the Human Torso in the Treatment of Spine Deformity. IEEE Trans. Neural Syst. Rehabil. Eng. 2018;26:1026–1035. doi: 10.1109/TNSRE.2018.2821652.
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